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Filippov A.A.

Almazov National Medical Research Center

Shcherbinin T.S.

Almazov National Medical Research Center

Gordeev M.L.

Almazov National Medical Research Center

Aortic root dilation after bicuspid aortic valve replacement and correction of ascending aortic aneurysm

Authors:

Filippov A.A., Shcherbinin T.S., Gordeev M.L.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(6): 464‑470

DOI: 10.17116/kardio202114061464

Read: 3048 times

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Table of contents

AORTIC ROOT DILATION AFTER BICUSPID AORTIC VALVE REPLACEMENT AND CORRECTION OF ASCENDING AORTIC ANEURYSM
AORTIC ROOT DILATION AFTER BICUSPID AORTIC VALVE REPLACEMENT AND CORRECTION OF ASCENDING AORTIC ANEURYSM

To cite this article:

Filippov AA, Shcherbinin TS, Gordeev ML. Aortic root dilation after bicuspid aortic valve replacement and correction of ascending aortic aneurysm. Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(6):464‑470. (In Russ.)
https://doi.org/10.17116/kardio202114061464

 
Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To analyze aortic root enlargement throughout a year after bicuspid aortic valve (BAV) replacement and correction of ascending aortic aneurysm.

MATERIAL AND METHODS

A prospective study included 80 patients with BAV and ascending aorta dilation up to 45—50 mm who underwent aortic valve replacement (AVR). All patients were divided into 3 groups. Group I included 30 patients after isolated AVR, group II (n=30) — AVR and ascending aorta repair, group III (n=20) — AVR and supracoronary ascending aorta replacement. All patients underwent echocardiography and CT angiography of the thoracic aorta before surgery. In long-term postoperative period (12—14 months after surgery), all patients underwent echocardiography, some patients — CT angiography of the thoracic aorta.

RESULTS

Aortic root diameter increased by 0.36 mm in group I (AVR) and by 0.44 mm in group II (AVR + ascending aorta repair). In group III (AVR + supracoronary ascending aorta replacement), aortic root diameter did not change significantly. Ascending aorta diameter (above sinotubular junction) increased by 0.73 mm in group I and by 0.96 mm in group II.

CONCLUSION

In patients with BAV and ascending aorta dilation up to 45-50 mm, the most significant aortic root enlargement was observed after AVR combined with ascending aorta repair. AVR combined with supracoronary ascending aorta replacement is preferred for prevention of aortic root dilation.

Keywords:

bicuspid aortic valve
aortic root
sinuses of Valsalva
aortic valve surgery
ascending aorta aneurysm

Authors:

Filippov A.A.

Almazov National Medical Research Center

Shcherbinin T.S.

Almazov National Medical Research Center

Gordeev M.L.

Almazov National Medical Research Center

Received:

21.01.2021

Accepted:

01.03.2021

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